Emergency Surgical Resection of Primary Pulmonary Artery Sarcoma Without Blood Transfusion

A primary pulmonary artery sarcoma is an extremely rare type of malignant tumor. We report the case of a 59-year-old woman, a member of the Jehovah's Witnesses church, with extensive primary pulmonary artery sarcoma who had life-threatening hemoptysis and underwent emergency surgery. Although the resected margin at the right pulmonary artery was positive, we performed reconstruction of that artery and a left pneumonectomy as life-saving procedures using intraoperative autologous blood transfusion and cell salvage in a continuous circuit to avoid blood transfusion. Surgical indications and procedures in this case of surgery without transfusion are also presented.